NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice
Student name
Capella University
NURS- FPX6011
Professor Name
Submission Date
Implementing Evidence-Based Practice
Hello, ladies and gentlemen! My name is ______ and the presenting topic is to develop a nurse-led implementation plan for greater uptake of cognitive and pulmonary rehabilitation by older Hispanic adults in a community health clinic after COVID. Evidence-based practice is a process of clinical decision making, and it is filled with the latest research evidence, along with the clinical experience and personal culture or beliefs of the patient. Following the acute phase of COVID-19, this analysis provides an implementation plan to improve the long COVID rehabilitation program for a 69-year-old Hispanic man, Charles Martinez, who continues to experience shortness of breath, fatigue, sleep disturbances, and memory problems. The plan will incorporate responses to the PICOT question, action plan, strategies involving stakeholder involvement, criteria for evaluating the outcome of the evidence, and pragmatics for implementation of the evidence in normal practice. The provided information helps to realize that the introduction of culturally adapted and bilingual education and the simplified use of technology support is a considerable measure for decreasing the symptom burden, increasing patient engagement, and the realization of the Quadruple Aim in community-based care.
Background on the Clinical Problem
The health problem that the community health clinics are facing is low participation by older Hispanic adults in the community health clinic’s rehabilitation process during and after COVID. Across the U.S., almost 4.1% of adults ages 65 and older develop Long COVID, and Hispanic adults are at 1.8 time’s higher risk for Long COVID symptoms (Centers for Disease Control and Prevention, 2023). In fact, at most places, it has been seen that 97.4% of the people who have suffered from long-COVID get the prescribed therapy, that is, rehabilitation (Frisk et al., 2023). These patients often have complaints of chronic fatigue, dyspnea, sleep dysfunction, and memory loss, significantly affecting their quality of life. The digital illiteracy, transportation, and other barriers to an even greater discrepancy between the recommended and actual contact include limitations and language discordance. This scenario demonstrates the need for culturally and linguistically specific interventions in order to overcome the practice gap.
The PICOT Question
- It is important to develop a specific and specific PICOT question to guide the research and to minimize the amount of evidence searched.
- Does an 8-week education and technology-assisted support program in both English and Spanish (I), as compared to education in English alone (C), result in greater rehabilitation engagement and symptom management (O) in older Hispanic adults with persistent COVID symptoms (P) over 8-weeks?
The PICOT question will help you to identify the evidence you need, plan the way that the proposed intervention will be implemented, and assess the effects of the proposed intervention.
Action Plan for Implementation
Evidence must be adopted in a planned and coordinated way into a logical clinical model of care in the community health clinic. The planned adjustment creates the potential for a culturally responsive and language accessible educational approach, which can be facilitated by a simple technology (text messages, video calls, etc.) that has been shown to enhance the communication between chronic cares, groups (Rodriguez, 2025). It will also suggest family involvement, teaching breathing techniques, educating about cognitive skills, and monitoring symptoms. They will train the employees on approaching the patients with a limited literacy level in a culturally responsive way and equip them with the rudimentary skills of digital coaching. The prerequisite for the structure provided intervention is improvement in the interaction and a decrease in the symptom burden of long COVID. The project will be divided into phases that will take a total of 8 weeks, where students will prepare the staff and also prepare the material. The second to fourth weeks will be devoted to the piloting of the program using a limited number of patients to streamline the educational tools and procedures and evidence-based support of personalized interventions as a source of enhancing adherence. During the fifth, sixth, and seventh weeks, the program will be expanded to all clinics, gathering information about engagement and observing the patient outcomes. Patients will be post-intervention/reviewed during the last week. This method will guarantee the practical application of this approach, an ongoing process of making the approach better and third the approach will be consistent with the best practices of community-based management of chronic disease.
Stakeholder Analysis
The implementation of this evidence-based practice involves multiple stakeholders who are impacted by the change in practice. Stakeholders will include the nurses, the medical assistants, the primary health care providers, the rehabilitation staff, the community health workers, and the patients, as well as family members who will be participating in the program. There is also a differentiation of roles within these groups, e.g., nurses who will be responsible for education, the role of community health workers in strengthening social barriers, and clinicians who will ensure clinical supervision (Charumbira et al., 2024). The potential of the innovation is to enhance engagement among underserved populations with the use of electronic reminders and bilingual learning tools to enhance understanding and compliance with the innovation. These stakeholders work together to improve the communication, culture alignment, and increase the chances of a sustainable change in practice.
Potential Barriers
There are a number of factors that may hinder the effective implementation of this program. The older generations are not highly digitally literate, and, therefore, the use of technology may be difficult. Sometimes, even bilingual materials do not help to improve the understanding levels, as the language barrier can play a part (Kletechka-Pulker et al., 2021). Incorporating new learning activities into the day-to-day workflow will most likely engage employees in a time-constrained environment. The ability to adopt can be delayed unless these aspects of training and reinforcing leadership are enhanced.
Outcome Evaluation Criteria
In an effort to explain the success of the implementation plan, some outcome measures have been put in place, which are patient involvement and symptom improvement. The net result will be an increase in attendance in the pulmonary and cognitive rehabilitation, and will be assessed by attendance, degree of completion, and self-reported adherence to home exercises. Symptom-related outcomes will be assessed with the aid of validated instruments that can be effectively utilized with the participants during old age, e.g., dyspnea, fatigue, and cognitive performance (Kuo et al., 2024). These will be measured in terms of baseline, mid-intervention, and post-intervention to obtain trends of the measures. These signifiers can be combined to form the complete picture of the level of the program efficiency in order to improve patient involvement and improvements in clinical outcomes. The secondary outcomes will involve patient satisfaction with bilingual education, involvement of family in the care activities, and bilingual education follow-ups. They will be accomplished through a short survey and clinic paperwork, which will give a reflection of the experience of the patients and the acceptability of the program. They are the results that can be linked to the Quadruple Aim as they improve patient health, maximize patient experience, reduce the number of visits to the clinic that patients do not really need, and assist clinicians to be more efficient (Arnetz et al., 2020). The enhanced interaction process will lead to the reduction of the symptom load and enhancement of continuity of care, thus saving healthcare costs.
The information of the information on the results will be considered as the foundation of the future clinic rules, and the introduction of the culturally oriented interventions into everyday life will be reasonable. Supporting Evidence Such a great amount of high-quality evidence makes the necessity of the shift in the practice, focusing on the importance of culturally oriented and bilingual interventions as an instrument of engagement with the patients. The search for evidence was computer-technology-database-based, including such search terms as long COVID rehabilitation, Hispanic patients, bilingual education, and technology-assisted care. Peer-reviewed articles published in the past five years have only been used to enable the researcher to select articles that are current and whose methodology is accurate. The critical appraisal showed that the findings were consistent; Bilingual education plays a significant role in enhancing understanding, compliance, and health outcomes among older adults with chronic conditions (Jeon et al., 2022). The studies reviewed were credible and gave credible and convincing research designs that include randomized controlled trials and mixed-method assessments, which could mean that the findings can be transferred to clinical environments of community clinics.
Conclusion
This culturally appropriate and bilingual educational program, which includes straightforward facilitation of technologies, can enhance attendance to rehabilitation and alleviate symptoms in older Hispanics with long-COVID. The structured approach with training and communication centered on patients can be used to help apply the evidence to practice. Intervention is built upon ethical principles, and it enhances workflow and patient outcomes. It also falls under the Quadruple Aim, given that it’s on the provider support side as well as improving the experience, health, and reducing costs. The project as a whole is a viable pattern for community health to encourage equitable, culturally responsive services and care.
References
Arnetz, B. B., Goetz, C. M., Arnetz, J. E., Sudan, S., VanSchagen, J., Piersma, K., & Reyelts, F. (2020). Enhancing healthcare efficiency to achieve the quadruple aim: An exploratory study. BioMed Central Research Notes, 13(1), 1–6. https://doi.org/10.1186/s13104-020-05199-8
Centers for Disease Control and Prevention. (2023, September 22). Long COVID in adults: United States, 2022. Www.cdc.gov. https://www.cdc.gov/nchs/products/databriefs/db480.htm
Charumbira, M. Y., Kaseke, F., Conradie, T., Berner, K., & Louw, Q. A. (2024). A qualitative study on rehabilitation services at primary health care: Insights from primary health care stakeholders in low-resource contexts. BioMed Central Health Services Research, 24(1). https://doi.org/10.1186/s12913-024-11748-9
Frisk, B., Jürgensen, M., Espehaug, B., Njøten, K. L., Søfteland, E., Aarli, B. B., & Kvale, G. (2023). A safe and effective micro-choice-based rehabilitation for patients with long COVID: Results from a quasi-experimental study. Scientific Reports, 13(1), 9423. https://doi.org/10.1038/s41598-023-35991-y
Jeon, H. O., Chae, M.-O., & Kim, A. (2022). Effects of medication adherence interventions for older adults with chronic illnesses: A systematic review and meta-analysis. Osong Public Health and Research Perspectives, 13(5), 328–340. https://doi.org/10.24171/j.phrp.2022.0168
Kletečka-Pulker, M., Parrag, S., Doppler, K., Völkl-Kernstock, S., Wagner, M., & Wenzel, T. (2021). Enhancing patient safety through the quality-assured use of alow-tech video interpreting system to overcome language barriers in healthcare settings. Wiener Klinische Wochenschrift, 133(11-12), 610–619. https://doi.org/10.1007/s00508-020-01806-7
Kuo, P.-Y., Chen, P.-H., Tsai, S.-F., Lin, W.-L., Hung, C.-T., & Huang, S.-M. (2024). Psychometric evaluation of an adult post-COVID-19 symptom tool: A development and validation study. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-51287-1
Magnuson, K. I., Li, K., Beuley, G., & Ryan-Pettes, S. R. (2024). The use of noncommercial parent-focused mhealth interventions for behavioral problems in youth: Systematic review. Journal of Medical Internet Research MHealth and UHealth, 12. https://doi.org/10.2196/51273
Rodriguez, J. M. (2025). Bridging rural health disparities through culturally-responsive telebehavioral interventions: A mixed-methods study in healthcare deserts. Applied Behavioral Health and Psychology, 1(1), 13–23. http://ojs.bilpub.com/index.php/abhp/article/view/790
FAQs
1. What is the purpose of NURS FPX 6011 Assessment 3?
The objective of this assessment task is the application of evidence-based practice approaches for improving patient care, healthcare quality, and nursing outcomes.
2. What topics are commonly used in this assessment?
Popular topics among nursing students are healthcare problems like infection control, patient safety, chronic diseases management, drug abuse, and hospital readmission prevention.
3. Why is evidence-based practice important in nursing?
Evidence-based practice enables nurses to base their decisions on scholarly information and professional experience for improving healthcare outcomes.
4. What should be included in the implementation plan?
These elements are the healthcare problem, research evidence, intervention strategies, steps to implement the interventions, stakeholders, and the evaluation plan.
5. How can students improve their Assessment 3 submission?
Using scholarly references, complying with APA format, making appropriate recommendations, and basing arguments on scientific findings is essential.